Individual
DONALD KIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 255-9155
Mailing address
4856 CANNINGTON DR, SAN DIEGO, CA 92117-3325
(858) 405-1550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
108684
CA
Other
Enumeration date
02/27/2022
Last updated
03/17/2024
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